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�CTRICAL PERMIT AP�ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-88'10 j FAX 425-257-8857 �(E) everetteps@everettwa_gov j www_everettwa.gov/permits <br />n.�R=���,��Y �.� nereoy cernry rnat � nave reatl and examined this application and know the same fo be tiue and co��t AI( p�avisions of laws and ordinances goveming fhis <br />fype oi �rork wil! be completed whefher specified herein or not The gran6ng of a permit does not presume to give authority to vio/ate or cance/ the provisions of any otherstate or <br />loca/ faw regulating construction or the performance of construction. That I am authorized by fhe owner of this property to perform the work for which application is made and I <br />comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br />OwnerlAuthorized Agent Signature Date <br />City of Everett Official Use Only <br />FEE <br />� �� � <br />PERMIT # <br />� �^�� o -� � � <br />(Revised 101?2/20i5) <br />